Individual provider · Type 1 NPI

Jackmary Medina

Psychiatric/Mental Health Nurse Practitioner · New York, NY

NPI number 1609710136 Active

Practice location

33 W 60th St Fl 6
New York, NY 10023-7905

Call (212) 606-2300 Map

Mailing address

200 Avenue F NE
Winter Haven, FL 33881-4131

Other practice locations

  • 200 Avenue F NE, Winter Haven, FL 33881-4131 · (863) 293-1121

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11046398 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609710136

Jackmary Medina's National Provider Identifier is 1609710136, issued on Apr 15, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on May 5, 2026.